Reduce the fracture and insert crossed K-wires so that they don’t interfere with placement of the Radial Peg Plate. Apply the plate to the radius and secure with 1.1mm K-wires in most proximal and distal hole. Use distal K-wires to ensure extra-articular peg placement.
Attach peg-guide and use a 1.75mm drill to drill unicortically. Measure depth and insert distal locking peg. Repeat procedure for the other two distal holes. Initially apply distal fixation using the radial styloid for orientation and positioning of the plate.
Important Note: The distal portion of the plate should lie on the midline axis and the tip of the plate is normally placed about 1 cm from the tip of the radial styloid.